Loading...
HomeMy WebLinkAboutZ-7299NO. 4 TOWN OF SOUTHOLD BUH,I~ING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at ....Ba..YV.i.e?..&.~. ............ Street Map No.8...~e...l*..h~..~..~Block No ........... Lot No..~ ~ ~ ~. ~ ~ ..... ~?~ ........ ~ code conforms substantially to the Before eertifiea~ of ~cup~y dated ..... APR.. 23. ........ , 19 ~2. p~suant to which ~ No. Z72~.. dated ........... ~.~.. ~..., 19 .... 76 , was issued, ~d conforms to M1 of ~e req,,~r~ ments of the applicable pro~sions of the law. The occup~cy for which ~is certificate ~ issued is . ~i~0. ~ .~.!~. d~.~g..~ .a~hOd..g~ ............. The ce~ificate is issued to .. ~a~e..~. ~ .... ~e.~ .?~. F~.~?F9 ................ (owner, lessee or ten,t) of the Moresaid building. S~olk County Dep~tment of Healtk Approval p~e~.ex~.~g. .................... UNDERWRITERS CERTIFICATE No.. P~. ~.~ ........................ HOUSE NUMBER .... ~0 ..... ~...~Y~. ~.. ~~ ....... Building Inspector HOUSING CODE INSPECTION October 13, 1976 1350 Bayview Avenue Greenport, N.Y. Owner: Leslie Jordon Hart Lots 111, 112, 113, Summer Haven, Map 1133 Upon request for a Pre-existing Certificate of Occupancy, I made this inspection. I admitted myself to the building at about 3:30 P.M. with a key which was attached to the appli- cation. This is a one-family dwelling with an attached garage. The cellar stairs are in violation as they have unequal risers ranging from 1-1/2 to 10-3/8 inches. In the rear yard is an accessory building (garage) built under Building Permit #6906Z and Certificate of Occupancy ~ 55~ There are no fences on this property. I found no other violations on these premises. I completed this inspection at approximately 3:45 and, after locking the house, returned the key to the office. Respectfully submitted, George H. Fisher Building Inspector GH:med FORM NO. 6 TOWN OF SOUTHOLD , Building Department Town Clerks Office Southold, N. Y, 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink,, and submitted in DUPLICATE to the Building Inspector with the foUowing; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(So9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compIJonce from the Architect or Engineer responsible for the building. 5. Submi~ Pla~nning Board approval of completed site plan requirements where applicoble. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey.of property showing aU property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date ...Oc.~s~.bo~. ............ e...~Lg.7,6.. New Building ................ Addition ................ Old or Pre-existing Building ................ Vacant Lond .............. Location Of Property ...]~a3~.l.ew.._~.v. en~te...a:..~.w.a~3amomc~quee..~nu~3old~...Naw...yo.~k ........ Owner Or Owners Of Property .... l'.~fJ3.~.e...J~delt...H&z,~. ....................................................................... Subdivision ..~.tatl]TJe~...Re..Ir. eJ~. ................................ Lot No. 112 113 ........... Block No ............. House No ............. Permit No ..................... Date Of Permit .................... Applicant .................................................................. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Fined Certificate .......................................... Fee Submitted $ ..~.~.O.O ......................... Construction on above described building an.~n_ ~lj.n~l~e~A/Jell app~cable c~o~s ~g~ regulations. Applicant ....... ~ .w. ~i~. ~. ~;fo°, r~fm.~ .~;~, ~,O~.e.:~,,., ~.c).~' ...... V ~,~/7 ~_..~'~/~ Notary Public ....... ~ ..................... County WALTER G KAPP'- ~''